Claims Adjuster SIU

CAA South Central Ontario; Vaughan; On-site; CAD 65,000 - 90,000; Full time

Benefits offered by this job

Wellness program

Education reimbursement

Rewards program

Travel incentives

Product discounts

Defined contribution plan

Personal spending account

Job summary

CAA Insurance, part of the CAA Club Group of Companies, is hiring for a claims investigator focused on internal investigations and fraud detection in Ontario. The role involves liability assessment, reporting to leadership, and collaboration with underwriting and claims teams.

A post-secondary education, 3+ years in claims, and relevant licenses (PI, CFE) are preferred, along with strong communication and analytical skills.

Qualifications

• Post-secondary education completed
• Minimum of 3 years experience in claims handling with knowledge in Property and Accident Benefit claims
• Completion of or willingness to obtain Private Investigator License, CFE, OSINT, Fire Investigation and ICAR courses
• Excellent verbal and written communication skills
• Strong knowledge of Microsoft Office Suite
• Ability to work in cross functional teams
• High attention to detail and confidentiality
• Ability to make decisions to solve problems or reach goals
• Strong negotiation and analytical skills

Responsibilities

• Conduct internal investigations including statements, scene investigations, and neighborhood canvasses with various stakeholders
• Evaluate liability and subrogation exposures and potential
• Provide reports to Leadership for Denied Claims and escalated situations
• Assist with investigative services reporting as required
• Present findings and recommendations at Fraud Committee meetings
• Maintain clear and precise documentation of all conversations and file activity
• Coordinate with Underwriting, CAD, and Claims through the file handling process

Skills

Investigations

Fraud detection

Liability evaluation

Documentation

Cross-functional teamwork

Communication

Education

Private Investigator License

Certified Fraud Examiner (CFE)

OSINT

Fire Investigation

ICAR courses

Tools

Microsoft Office

Job description

For over 50 years, our Property and Casualty insurance Company, CAA Insurance, has provided dependable and trustworthy service to protect Canadians and what matters to them. CAA Insurance Company offers a dynamic professional environment which strives to offer the ultimate customer experience. We share in each other's successes, drive change and support each other while cultivating a great working environment to deliver on what is best for the customer.

Job description

About Us

For over 50 years, our Property and Casualty insurance Company, CAA Insurance, has provided dependable and trustworthy service to protect Canadians and what matters to them. CAA Insurance Company offers a dynamic professional environment which strives to offer the ultimate customer experience. We share in each other's successes, drive change and support each other while cultivating a great working environment to deliver on what is best for the customer.

Who we are

Are you ready to join an award-winning, purpose-driven culture? Welcome to the CAA Club Group of Companies (CCG), where purpose leads to passion!

At CCG, we are committed to delivering an exceptional Associate experience. We offer:

• Work-life harmony with access to an award-winning holistic wellness program,
• Continuous learning through our robust corporate curriculum and education reimbursement program,
• Incredible rewards, travel incentives, and product and service discounts,
• Pay-for-performance and best-in-class recognition programs, and
• Competitive benefits that include a defined contribution plan, personal spending account, and so much more.

Join our growing team where everyone belongs!

Position Details

What You Will Do

• Conduct internal investigations including setting up statements, scene investigations, and neighborhood canvasses. Collaborate with the lead adjuster, different vendors and experts to contemplate vehicle inspections, EUO and investigative steps towards resolution of investigative file.
• Evaluate liability, and subrogation exposures and potential
• Provide reports to Leadership for Denied Claims and possible escalated situations in a concise and timely manner
• Assist with investigative services reporting as required and developed
• Present at the Fraud Committee meeting with findings and recommendations
• Provide & maintain clear and precise documentation of all conversations and file activity
• Communicate with other departments through the handling of the file (Underwriting, CAD, Claims)

Please note, salary range is not inclusive of total compensation. The expected salary range for this position will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level.

Who You Are

• Post-secondary education completed
• Minimum of 3 years experience in claims handling with knowledge preferred in Property and Accident Benefit claims
• Completion of or willingness to obtain the following license/certification/courses: Private Investigator License,Certified Fraud Examiner (CFE) certification,OSINT, Fire Investigation and ICAR courses
• Must have excellent verbal and written communicationskills
• Strong working knowledge of Microsoft Office Suite
• Ability to work in cross functional teams
• High level of attention to detail and ability to maintain confidentiality
• Ability to make decisions or take actions to solve a problem or reach a goal
• Strongnegotiations and analytical skills

Please note that we may use AI tools to help us through the recruitment process.

Our Commitment

We are an equal opportunity employer and are committed to providing employment accommodation in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act, 2005 (AODA). CCG will provide accommodations to job applicants with disabilities throughout the recruitment process. If you require an accommodation, please notify us and we will work with you to meet your needs.